| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.45 | $22.04 | $22.04 | |
Cigna
| Professional | $15.97 | $15.97 | $31.34 | |
United
| Professional | $12.68 | $27.63 | $33.97 |
Ratchet Assembly Replacement Only (Desc Revised 01/01/2017)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.45 | $22.04 | $22.04 | |
Cigna
| Professional | $15.97 | $15.97 | $31.34 | |
United
| Professional | $12.68 | $27.63 | $33.97 |